McCluskey Primary Care LLC

Organization Active NPI Primary Care Nurse Practitioner · Leesburg, AL

NPI 1982447231 · NPPES record last updated Aug 26, 2025

Key facts

NPI
1982447231
Entity type
Organization (NPI type 2)
Primary specialty
Primary Care Nurse Practitioner 363LP2300X
Legal business name
MCCLUSKEY PRIMARY CARE LLC
Practice address
215 Industrial Blvd
Leesburg, AL 35983-3742
Phone
(256) 526-3331
Fax
(256) 526-3330
NPI assigned
Jun 14, 2024
Organization subpart
No

Authorized official

Name
Kimberly Ann McCluskey-Jones, CRNP
Title
Owner/CRNP
Phone
(256) 526-3331

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
01D2312861McCluskey Primary Care LLC
215 Industrial Blvd Suite C, Leesburg, AL 35983
Certificate of waiverOct 20, 2026

Medicare participation

Medicare fee-for-service enrollment
Enrolled in AL

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20250313002101 AL Part B Supplier - Clinic/Group Practice 9133641640 Receives reassigned benefits from 1 practitioner
Practice locations: Leesburg, AL

National Provider Directory

Locations

750 Cherokee Plz
Centre, AL 35960

215 Industrial Blvd
Leesburg, AL 35983
Phone (256) 526-3331

215 Industrial Blvd
Ste C
Leesburg, AL 35983
Phone (256) 526-3331

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
Primary Care Clinic/Center 261QP2300X
Urgent Care Clinic/Center 261QU0200X
Family Nurse Practitioner
Group: 193200000X MULTI-SPECIALTY GROUP
363LF0000X
Primary Care Nurse Practitioner
Group: 193200000X MULTI-SPECIALTY GROUP
363LP2300X Yes

Addresses

Primary practice location

215 Industrial Blvd
Leesburg, AL 35983-3742

Mailing address

215 Industrial Blvd Ste C
Leesburg, AL 35983-3742
Phone (256) 526-3331

Other names

  • Mccluskey Primary Care Doing business as

Other providers in Leesburg, AL

All providers in Leesburg, AL · Primary Care Nurse Practitioner in Alabama

Sources for this page

Verify at the official NPI Registry.